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� � . <br /> CITY OF ORONO * 2 0 1 5 - 0 1 B B 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2015 <br /> , ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> A�DRESS : 515 NORTH ARM DR <br /> PIN : T000129 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 22 BLOCK 3 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO NEW HOME PERMIT#2015-01083-PD BY CHRISTIAN NORTON-CK#I752-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> NORTON HOMES Payment(s) <br /> 18215 45TH AVE N, STE D CHECK 1752 2,500.00 <br /> PLYMOUTH,MN 55446- <br /> (612)386-�661 <br /> Minnesota State License#: BUIL-BC639221 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction suthorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> � ..� . �� �C� �� /S <br /> Applicant Permitee Signature Date Issued By Signatu e Date <br />